Comment on “Sleeve gastrectomy with concomitant hiatal hernia repair in obese patients: long-term results on gastroesophageal reflux disease”
In the paper by Angrisani et al, the authors tackle an important question, namely; what are the long term outcomes regarding gastroesophageal reflux disease (GERD) in patients undergoing sleeve gastrectomy (SG) ? Many surgeons consider GERD to be the Achilles heel of the SG, and it is one of the main reasons for conversion of the SG to other procedures such as the gastric bypass . The last International Consensus Conference on SG demonstrated that over 50% of surgeons considered GERD to be a relative contrindication to the SG, and also that hiatal hernias (HH) should be repaired when encountered . (Source: Surgery...
Source: Surgery for Obesity and Related Diseases - June 1, 2020 Category: Surgery Authors: Benjamin Clapp Source Type: research
Comment on: Sleeve gastrectomy with concomitant hiatal hernia repair in obese patients: long-term results on gastroesophageal reflux disease
In the paper by Angrisani et al. , the authors tackle an important question, namely, what are the long-term outcomes regarding gastroesophageal reflux disease (GERD) in patients undergoing sleeve gastrectomy (SG)? Many surgeons consider GERD to be the Achilles’ heel of the SG, and it is one of the main reasons for conver sion of the SG to other procedures, such as the gastric bypass . The last International Consensus Conference on SG demonstrated>50% of surgeons considered GERD to be a relative contraindication to the SG, and also hiatal hernias (HH) should be repaired when encountered . (Source: Su...
Source: Surgery for Obesity and Related Diseases - June 1, 2020 Category: Surgery Authors: Benjamin Clapp Tags: Editorial comment Source Type: research
A Randomized Controlled Trial Comparing Short-term Outcomes of Self-Gripping (Progrip) Mesh Versus Fibrin Sealant in Laparoscopic Total Extraperitoneal Hernioplasty
Conclusions: There was no significant difference in terms of chronic pain between PG and FS group. The use of PG is effective in TEP. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - June 1, 2020 Category: Surgery Tags: Original Articles Source Type: research
Minimally invasive laparoscopic and robot-assisted emergency treatment of strangulated giant hiatal hernias: report of five cases and literature review
Giant hiatal hernia (GHH) is a condition where one-third of the stomach migrates into the thorax. Nowadays, laparoscopic treatment gives excellent postoperative outcomes. Strangulated GHH is rare, and its emer... (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - June 1, 2020 Category: Emergency Medicine Authors: Graziano Ceccarelli, Alessandro Pasculli, Walter Bugiantella, Michele De Rosa, Fausto Catena, Fabio Rondelli, Gianluca Costa, Aldo Rocca, Mattia Longaroni and Mario Testini Tags: Review Source Type: research
In the eye of the beholder: surgeon variation in intra-operative perceptions of hiatal hernia and reflux outcomes after sleeve gastrectomy
AbstractBackgroundHiatal hernia repair performed at the time of laparoscopic sleeve gastrectomy (LSG) may reduce post-operative reflux symptoms. It is unclear whether intra-operative diagnosis of hiatal hernia varies among surgeons or if it affects outcomes.Study designSurgeons (n = 38) participating in a statewide bariatric surgery quality improvement collaborative reviewed 33 videos of LSG in which no hiatal hernia repair was performed. Reviewers were blinded to patient information and were asked whether they perceived a hiatal hernia. Surgeon characteristics and surge on-specific patient outcomes for LSG w...
Source: Surgical Endoscopy - May 31, 2020 Category: Surgery Source Type: research
973 endoscopic reduction of type iv paraesophageal hernia
Type IV paraesophageal hernias are characterized by upward dislocation of the intra-abdominal organs into the thoracic cavity and presence of a structure other than the stomach within the hernia sac. While surgical repair is traditionally indicated in symptomatic patients with a paraesophageal hernia, limited options are available for patients deemed to poor surgical candidates. In this video, we describe a successful case of endoscopic type IV paraesophageal hernia reduction. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 31, 2020 Category: Gastroenterology Authors: Thomas R. McCarty, Ahmad Najdat Bazarbashi, Ali M. Abbas, Kelly Hathorn, Christopher C. Thompson Tags: Oral abstracts Source Type: research
Fallopian tube herniation from trocar-site after laparoscopic appendectomy.
This report unveils a 5mm trocar site herniation of right fallopian tube following laparoscopic appendectomy. In this case study, a 19-year-old female patient applied to the emergency department because of a discharge in the right lower quadrant was reported. She explained that she had undergone laparoscopic appendectomy two days before and discharged the next day uneventfully. The surgical report described a suction drain in the right lower quadrant where the patient was suffering from the discharge. The physical examination revealed no tenderness, but an abdominal CT disclosed an edematous tubular structure herniating fr...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 31, 2020 Category: Emergency Medicine Authors: Ergin A, Işcan Y, Ağca B, Karip B, Memisoğlu K Tags: Ulus Travma Acil Cerrahi Derg Source Type: research
A rarely encountered case: A neuroendocrine tumor in strangulated Littre's hernia.
In this study, we present a case of neuroendocrine tumor in strangulated Littre's hernia, on which we did not find a study when we reviewed the relevant literature. A 71-year-old male patient presented to our outpatient clinic with complaints of left groin pain and swelling in the groin. Acute abdomen findings were also present in the abdominal examination of the patient. The patient was operated on immediately and it was observed during the operation that the herniated Meckel's diverticulum was perforated. Segmental small intestine resection was performed. The pathology results of the patient revealed a well-differentiate...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 31, 2020 Category: Emergency Medicine Authors: Erdoğan A, Bostanoğlu A Tags: Ulus Travma Acil Cerrahi Derg Source Type: research
The role of the lactate level in determining the risk rates of small bowel resection in incarcerated hernias.
This study aims to examine the markers that may be effective in determining the risk of small bowel resection due to incarcerated hernias. In particular, we aimed to investigate the effect s of blood lactate levels in determining this risk. METHODS: A cross-sectional retrospective study was designed. Patients, whose preoperative diagnosis were reported as incarcerated hernia and had essential information, were included in this study. They were divided into two groups according to whether they had resection or not. Age, gender, hernia type, hernia side, resection material, blood lactate level (BLL), white blood cell (W...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 31, 2020 Category: Emergency Medicine Authors: Şahin M, Buluş H, Yavuz A, Turhan VB, Öztürk B, Kılıç NA, Babayiğit M, Öztürk D Tags: Ulus Travma Acil Cerrahi Derg Source Type: research
Correction to: Trocar Site Hernias in Bariatric Surgery —an Underestimated Issue: a Qualitative Systematic Review and Meta-Analysis
The review was not registered for systematic reviews and meta-analyses, and should be disregarded. (Source: Obesity Surgery)
Source: Obesity Surgery - May 30, 2020 Category: Surgery Source Type: research
A new technique for the 3D reconstruction of the incisional hernia: A pilot study
This study aimed to accurately evaluate incisional hernias with a new three-dimensional (3D) reconstruction technology, proving surgeons more information for intuitive and accurate judgments about incisional hernia to minimize the perioperative complications and recurrence rate. (Source: Clinical Imaging)
Source: Clinical Imaging - May 28, 2020 Category: Radiology Authors: Qi Zhang, Xiaojian Fu, Kai He, Hao Chen, Yuze Zheng, Xiaoyuan Feng, Qiyuan Yao Tags: Body Imaging Source Type: research
Rare emergency hernias in the elderly patients - Two case reports.
PMID: 32475680 [PubMed - as supplied by publisher] (Source: Asian Journal of Surgery)
Source: Asian Journal of Surgery - May 27, 2020 Category: Surgery Authors: Nowak Ł, Śliwa A, Sutkowska K, Kaliszewski K Tags: Asian J Surg Source Type: research
Inguinal and Other Hernias
Publication date: Available online 26 May 2020Source: Advances in PediatricsAuthor(s): Aimee G. Kim, Marcus D. Jarboe (Source: Advances in Pediatrics)
Source: Advances in Pediatrics - May 27, 2020 Category: Pediatrics Source Type: research
[Bladder cancer - complications related to urinary diversion].
Abstract Even today, radical cystectomy with urinary diversion is one of the most complicated procedures in uro-oncology. Particularly in the long-term course, but also perioperatively, problems caused by urinary diversion play a significant role.Perioperatively, gastrointestinal problems such as an ileus, but also infections and early complications of the different anastomoses are most important. While ileus and perioperative infections can usually be treated conservatively, failure of the intestinal or ureteroileal anastomoses require regular surgical revisions.In the long-term follow-up, scarring can lead to ch...
Source: Aktuelle Urologie - May 26, 2020 Category: Urology & Nephrology Authors: Pfister D, Niegisch G Tags: Aktuelle Urol Source Type: research
Smoking and obesity are associated with increased readmission after elective repair of small primary ventral hernias: A nationwide database study
Smoking and obesity are well-known risk factors for surgical site infection, but it is unknown whether these factors influence outcomes after repair of small umbilical and epigastric hernias with defects ≤2 cm. The aim of this study was to evaluate whether smoking and obesity are associated with readmission, reoperation for complications, and recurrence rates after elective repair of small umbilical and epigastric hernias. (Source: Surgery)
Source: Surgery - May 23, 2020 Category: Surgery Authors: Nadia A. Henriksen, Thue Bisgaard, Frederik Helgstrand, Danish Hernia Database Source Type: research
Single-port laparoscopic percutaneous closure of the internal ring for scarless repair of inguinal hernias in girls.
Conclusion: Laparoscopic percutaneous extraperitoneal closure of the internal ring using an epidural needle is a safe and feasible method for the treatment of inguinal hernias in girls. This method has the advantages of limited trauma, no scarring and a good cosmetic effect. PMID: 32427037 [PubMed - as supplied by publisher] (Source: Minimally Invasive Therapy and Allied Technologies)
Source: Minimally Invasive Therapy and Allied Technologies - May 21, 2020 Category: Surgery Tags: Minim Invasive Ther Allied Technol Source Type: research
Health-related quality of life after laparoscopic repair of giant paraesophageal hernia: how does recurrence in CT scan compare to clinical success?
Computed tomography (CT) is widely used in the diagnosis of giant paraesophageal hernias (GPEH) but has not been utilised systematically for follow-up. We performed a cross-sectional observational study to ass... (Source: BMC Surgery)
Source: BMC Surgery - May 20, 2020 Category: Surgery Authors: Henriikka Hietaniemi, Ilkka Ilonen, Tommi J ärvinen, Juha Kauppi, Saana Andersson, Harri Sintonen and Jari Räsänen Tags: Research article Source Type: research
National trends in ventral hernia repairs for patients with intra-abdominal metastases
Ventral hernias in patients with intra-abdominal metastases may not be addressed owing to other oncologic priorities, but they can affect quality of life and lead to sequelae necessitating an emergency operation. We compared the national trends and perioperative outcomes for elective and nonelective ventral hernia repairs for patients with intra-abdominal metastases. (Source: Surgery)
Source: Surgery - May 17, 2020 Category: Surgery Authors: Yun Song, Adrienne B. Shannon, Robert E. Roses, Douglas L. Fraker, Rachel R. Kelz, Giorgos C. Karakousis Source Type: research
The most common comorbidities in patients with Ehlers-Danlos syndrome: a 15-year nationwide population-based cohort study.
Conclusions: The most common comorbidities in Danish patients with EDS were gastrointestinal functional disorders, hernias, asthma, pneumonia, and osteoporosis. The causality between these comorbidities and EDS should be investigated further.Implications for RehabilitationEhlers-Danlos syndrome constitutes a group of connective tissue diseases causing a variable range of organ dysfunction.The comorbidity burden for patients with Ehlers-Danlos syndrome was unexplored previously.This study showed that the most common comorbidities in Danish patients with Ehlers-Danlos syndrome are gastrointestinal functional disorders, herni...
Source: Disability and Rehabilitation - May 14, 2020 Category: Rehabilitation Authors: Leganger J, Fonnes S, Kulas Søborg ML, Rosenberg J, Burcharth J Tags: Disabil Rehabil Source Type: research
Treating Center Volume and Congenital Diaphragmatic Hernia Outcomes in California
To examined outcomes for infants born with congenital diaphragmatic hernias (CDH), according to specific treatment center volume indicators. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 13, 2020 Category: Pediatrics Authors: Jordan C. Apfeld, Zachary J. Kastenberg, Alexander T. Gibbons, Suzan L. Carmichael, Henry C. Lee, Karl G. Sylvester Tags: Original Articles Source Type: research
Correction to: Consensus on international guidelines for management of groin hernias
In the Acknowledgments, Lars N. Jorgensen of the HerniaSurge Group was incorrectly listed as: “Lars Jorgensen, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.” The correct listing should have read: “Lars N. Jorgensen, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.” (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - May 12, 2020 Category: Surgery Source Type: research
Outcomes of abdominal wall reconstruction in patients with the combination of complex midline and lateral incisional hernias
The best treatment for repair of complex concomitant incisional hernias of the midline and lateral abdominal wall is not known. The importance of this multicenter study is to describe our results based on patient-reported outcomes using a posterior component separation in these difficult hernia repairs. (Source: Surgery)
Source: Surgery - May 10, 2020 Category: Surgery Authors: Joaqu ín Manuel Muñoz Rodríguez, Javier López-Monclús, Carlos San Miguel Méndez, Marina Pérez-Flecha González, Álvaro Robin Valle de Lersundi, Luis Alberto Blázquez Hernando, Diego Curcurullo, Esteban García Hernández, Víctor Sánchez Turrió Source Type: research
Ipsilateral Spigelian hernia: just an infrequent variant?
We describe an unusual case of Spigelian herniation previously unreported and possibly previously unrecognised. PMID: 32389026 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - May 10, 2020 Category: Surgery Authors: Singh R, Jayamanne H, Stephenson BM Tags: Ann R Coll Surg Engl Source Type: research
Long-term follow-up of the incisional hernia rate after single-incision laparoscopic cholecystectomy: A prospective observational study.
Authors: Valcarenghi J, Hernigou J, Apicella G, Clegg E, Rousie M, Chasse E Abstract Purpose: To evaluate the long-term occurrence rate of incisional hernias following single-incision laparoscopic cholecystectomy (SILC).Background: Since the 90s, SILC has emerged as a less invasive alternative to standard laparoscopic cholecystectomy in selected patients. But concerns over port-incisional hernias have not been addressed.Methods: Between February 2009 and February 2011, 142 patients referred for gallstones who agreed to undergo SILC were included in a monocenter prospective observational study. All of the procedures...
Source: Acta Chirurgica Belgica - May 8, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research
Is the sublay self-gripping mesh effective for incisional ventral hernia repair? Our experience and a systematic review of the literature
AbstractSublay mesh repair seems to be the most effective method for treating incisional hernias (IHs). The aim of this study was to report our experience with retromuscular repair and self-gripping mesh for the treatment of midline IHs. In addition, we provided a systematic review of the literature regarding the use of this novel combination. All patients undergoing elective IH repair from June 2016 to November 2018 were included. The self-gripping mesh was placed in the sublay position. Demographic data, defect sizes, postoperative complications and follow-up durations were collected. A systematic review of the available...
Source: Updates in Surgery - May 7, 2020 Category: Surgery Source Type: research
Long-term results of botulinum toxin type A in complex abdominal wall repair and review of the literature
AbstractAdministration of botulinum toxin (BTX) is being used in cases of complex ventral hernia for the reconstruction of the linea alba and closure of the abdominal wall. However, there are no published results regarding the long-term effects of BTX and its implication in hernia recurrence. Our purpose is to evaluate the outcomes in hernia recurrence of the administration of BTX in complex ventral hernia repair. 36 patients underwent elective surgery for complex ventral hernia and were evaluated retrospectively. The study included patients with a transverse hernia defect ≥ 100 mm and loss of domain...
Source: Updates in Surgery - May 6, 2020 Category: Surgery Source Type: research
An early experience with transversus abdominis release for complex ventral hernias: a retrospective review of 100 cases
ConclusionsOur early results with TAR are encouraging. We have demonstrated that the repair allows anatomical reconstruction with a large sublay mesh while inflicting minimal morbidity. TAR can be a valuable tool in complex ventral hernia repair. (Source: Hernia)
Source: Hernia - May 5, 2020 Category: Sports Medicine Source Type: research
A comparison of robotic mesh repair techniques for primary uncomplicated midline ventral hernias and analysis of risk factors associated with postoperative complications
ConclusionRobotic PVHR contributes multiple techniques to a surgeon ’s armamentarium, such as IPOM, TAPP, and RM mesh placements. Patient characteristics as well as the potential consequences of each technique need to be taken into consideration when deciding the appropriate approach for the repair of primary uncomplicated midline ventral hernias. (Source: Hernia)
Source: Hernia - May 4, 2020 Category: Sports Medicine Source Type: research
Obturator hernia presenting partial obstruction in an elderly patient
HM Koksal, MF CelayirNigerian Journal of Clinical Practice 2020 23(5):741-743 Obturator hernia (OH) is a relatively rare pelvic hernia. OH is usually seen in elderly, multiparous females and patients with a low body weight. Obturator hernia accounts for 0.07-0.4% of all intraabdominal hernias and 0.2-5.8% of small bowel hernias. The diagnosis of obturator hernia can be difficult and often delayed. Any therapeutic delay is associated with serious complications and higher mortality rates. The correct preoperative diagnosis of obturator hernia is facilitated by computed tomography (CT). Our case was admitted to our e...
Source: Nigerian Journal of Clinical Practice - May 3, 2020 Category: Rural Health Authors: HM Koksal MF Celayir Source Type: research
Gilbert double layer graft method for groin hernias in patients with ascites: A retrospective study of 81 patients
Patients with ascites undergoing an inguinal hernia repair have an increased rate of both morbidity and mortality compared with those without ascites, leading to controversy regarding the indications for herniorrhaphy in patients with ascites. The purpose of this retrospective study was to analyze the clinical results of a tension-free herniorrhaphy using the Gilbert approach in 81 patients with an inguinal hernia complicated by the presence of ascites. (Source: Surgery)
Source: Surgery - May 2, 2020 Category: Surgery Authors: Shiwei Yang, Yongyang Yu, Yong Wang, Wenqin Luo, Bing Wu, Wenzhang Lei, Zongguang Zhou Source Type: research
Improving Shared Decision-making and Treatment Planning Through Predictive Modeling: Clinical Insights on Ventral Hernia Repair
Abdominal wall hernia repair, including ventral hernia repair, is one of the most common general surgical procedures. Nationally, at least 350 000 ventral hernia repairs are performed annually, and of those, 150 000 cases were identified as incisional hernias. Outcomes are reported to be poor, resulting in additional surgical repair rates of 12.3% at 5 years and as high as 23% at 10 years. Healthcare costs associated with ventral hernia repair are estimated to exceed $3 billion each year. Additionally, ventral hernia repair is often complex and unpredictable when there is a current infection or a history of infection and s...
Source: CIN: Computers, Informatics, Nursing - May 1, 2020 Category: Information Technology Tags: FEATURES Source Type: research
Venous Thromboembolism in Emergency General Surgery Patients
Emergency general surgery (EGS) represents a growing area for quality improvement initiatives owing to the immense burden of disease and contribution to overall surgical morbidity in the United States. In this issue of JAMA Surgery, Ross and colleagues report on the almost 2-fold increased risk of venous thromboembolism (VTE) after emergency surgery of the gallbladder, ventral hernias, and colon compared with elective counterparts. The absolute risk of VTE in each operative category by emergency status was not reported but would help shed some light on which patients are at higher absolute risk. (Source: JAMA Surgery)
Source: JAMA Surgery - April 29, 2020 Category: Sports Medicine Source Type: research
Prevalence and Impact on Quality of Life of Occult Hernias among Patients Undergoing Computed Tomography
With the widespread use of advanced imaging there is a need to quantify the prevalence and impact of hernias. We aimed to determine the prevalence of abdominal wall hernias among patients undergoing computed tomography (CT) scans and their impact on abdominal wall quality of life (AW-QOL). (Source: Journal of Surgical Research)
Source: Journal of Surgical Research - April 26, 2020 Category: Surgery Authors: Oscar A. Olavarria, Karla Bernardi, Julie L. Holihan, Nicole B. Lyons, Puja Shah, Tien C. Ko, Lillian S. Kao, Mike K. Liang Tags: Gastrointestinal Source Type: research
Primary thoracoabdominal hernias
ConclusionsPrimary thoracoabdominal hernias require a high index of suspicion. Durable repair involves complex reconstruction of the thoracoabdominal wall including the diaphragm, intercostal space, rib fracture fixation, and mesh reinforcement of the abdominal wall with permanent fixation constructs. (Source: Hernia)
Source: Hernia - April 23, 2020 Category: Sports Medicine Source Type: research
Small bowel obstruction caused by pericaecal hernia resolved with a laparoscopic approach.
We report a case of an 84-year-old woman with no previous history of abdominal surgery who came to our hospital having endured 6 hours of abdominal pain and vomiting. Following physical examination and computed tomography, a diagnosis of small bowel obstruction caused by pericaecal hernia was made and emergency surgery was performed. The hernia was successfully reduced with a laparoscopic approach. Although pericaecal hernia is a rare disease, surgeons should bear it in mind as a differential diagnosis in small bowel obstruction. PMID: 32326724 [PubMed - as supplied by publisher] (Source: Annals of the Royal College o...
Source: Annals of the Royal College of Surgeons of England - April 23, 2020 Category: Surgery Authors: Plua-Muñiz K, Sanchez-Gonzalez J, Bailon-Cuadrado M, Pacheco-Sanchez D Tags: Ann R Coll Surg Engl Source Type: research
Antibiotic prophylaxis for prevention of postoperative wound infection in adults undergoing open elective inguinal or femoral hernia repair.
Abstract BACKGROUND: Inguinal or femoral hernia is a tissue protrusion in the groin region and has a cumulative incidence of 27% in adult men and of 3% in adult women. As most hernias become symptomatic over time, groin hernia repair is one of the most frequently performed surgical procedures worldwide. This type of surgery is considered 'clean' surgery with wound infection rates expected to be lower than 5%. For clean surgical procedures, antibiotic prophylaxis is not generally recommended. However after the introduction of mesh-based hernia repair and the publication of studies that have high wound infection rat...
Source: Cochrane Database of Systematic Reviews - April 20, 2020 Category: General Medicine Authors: Orelio CC, van Hessen C, Sanchez-Manuel FJ, Aufenacker TJ, Scholten RJ Tags: Cochrane Database Syst Rev Source Type: research
Could isthmic approach to far lateral disc hernias cause instability?
These results show that a significant loss of resistance especially during the lateral bending loading was occurred with increasing resection portion of isthmus. With the load applied during the lateral bending of the pars interarticularis, the vertebra resected by 50% percent fractured significantly easier in comparison to the vertebra resected by 25% percent. Pars interarticularis is an important structure with an important role in stability. It is presumed that the more defect is created during the drill-up of the pars interarticularis, the more instability will be occurred. (Source: Clinical Biomechanics)
Source: Clinical Biomechanics - April 19, 2020 Category: Orthopaedics Authors: Ramazan Sari, Fatma K übra Erbay Elibol, Eylem Burcu Kahraman Özlü, İlhan Elmacı, Teyfik Demir Source Type: research
The Abdominal Hernia-Q: Development, Psychometric Evaluation, and Prospective Testing
Conclusions: Through patient involvement and rigorous, iterative psychometric evaluation, we have produced substantial data to suggest the validity and reliability of AHQ scores in measuring hernia-specific PRO. The AHQ advances the clinical management and treatment of patients with abdominal hernias by providing a more complete understanding of patient-defined outcomes. (Source: Annals of Surgery)
Source: Annals of Surgery - April 17, 2020 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research
Variations in open and laparoscopic repair of paediatric inguinal hernia.
CONCLUSIONS: This study found considerable variation in the execution of both open and laparoscopic repair of inguinal hernias in children of different age groups. Research into inguinal hernia repair in children is needed to rationalise and update guidelines in order to improve quality and facilitate research. FUNDING: none. TRIAL REGISTRATION: not relevant. PMID: 32285794 [PubMed - in process] (Source: Danish Medical Journal)
Source: Danish Medical Journal - April 15, 2020 Category: General Medicine Tags: Dan Med J Source Type: research
Robotic repair of lateral incisional hernias using intraperitoneal onlay, preperitoneal, and retromuscular mesh placement: a comparison of mid-term results and surgical technique
SummaryBackgroundGiven the paucity of evidence surrounding lateral incisional hernias (LIH), optimal techniques remain elusive. We aim to compare perioperative and mid-term outcomes of patients who underwent robotic LIH repair using three techniques.MethodsPatients were grouped as intraperitoneal onlay (IPOM), transabdominal preperitoneal (TAPP), or retromuscular (RM). Clavien –Dindo classification and Comprehensive Complication Index (CCI®; University of Zurich, Zurich, Switzerland) were used to report postoperative complications and morbidity scores. Surgical site events (SSEs), including surgical site occurren...
Source: European Surgery - April 14, 2020 Category: Surgery Source Type: research
Risk of hernia formation after radical prostatectomy: a comparison between open and robot-assisted laparoscopic radical prostatectomy within the prospectively controlled LAPPRO trial
ConclusionsWe found no difference in incidence of inguinal hernia after open retropubic and robot-assisted laparoscopic radical prostatectomy. The low incidence of incisional hernia after both procedures did not allow for statistical analysis. Risk factors for developing an inguinal hernia after prostatectomy were increased age and BMI. (Source: Hernia)
Source: Hernia - April 10, 2020 Category: Sports Medicine Source Type: research
Prophylactic mesh augmentation using permanent synthetic mesh: outcomes of keyhole and Stapled Ostomy Reinforcement with Retromuscular Mesh techniques
ConclusionPermanent synthetic mesh placed as a sublay in the retromuscular space is safe and appears to decrease the risk of PSH formation after the creation of permanent stomas. A stapled technique may provide advantages over a traditional keyhole technique. (Source: Hernia)
Source: Hernia - April 10, 2020 Category: Sports Medicine Source Type: research
Pediatric trauma: Management and lessons learned
Conclusion: In spite of extensive injuries and the need for multiple surgeries, children with trauma have a good prognosis. Close observation during admission and also in follow-up are essential, as many patients may require delayed surgery ≥1 week from injury. (Source: Journal of Indian Association of Pediatric Surgeons)
Source: Journal of Indian Association of Pediatric Surgeons - April 10, 2020 Category: Surgery Authors: Shalini Hegde Monika Bawa Ravi P Kanojia Jai K Mahajan Prema Menon Ram Samujh K L N Rao Source Type: research
Traumatic abdominal wall hernias following high-velocity trauma in children
We present one such case of a 9 year-old boy requiring a trauma laparotomy to repair visceral injuries following a motor vehicle accident. (Source: Journal of Indian Association of Pediatric Surgeons)
Source: Journal of Indian Association of Pediatric Surgeons - April 10, 2020 Category: Surgery Authors: Rakesh Quinn Susan Jehangir Michael Collin S V S Soundappan Source Type: research
Acute renal failure caused by giant inguinoscrotal bladder hernia
We present a case of a 70-year old man with such inguinal hernia presenting with acute scrotal hemorrhage. Our patient presented with signs of sepsis (due to UTI) and no symptoms of strangulation. Due to the high risk of developing respiratory failure during the post-operative period of a giant hernia such as the one our patient presented with, a conservative approach with creation of nephrostomy was utilized. (Source: Urology)
Source: Urology - April 10, 2020 Category: Urology & Nephrology Authors: Micha ł W. Szymański, Andrzej R. Hellmann, Agastya Patel, Monika Proczko-Stepaniak, Łukasz Kaska Tags: Grand Rounds Source Type: research
Robotic inguinal hernia repair: Is it a new era in the management of inguinal hernias?
Abstract OBJECTIVE: We compared outcomes of elective inguinal hernia repair performed at one institution by three approaches: robotic-assistance, laparoscopic, and open. METHODS: Characteristics of the patients, the hernia and the procedures performed during 2014-2016 were accessed from patient electronic medical files of 137 elective inguinal hernia repairs. 24 surgeries were robotic-assisted, 16 laparoscopic and 97 open repairs. RESULTS: Distributions of age, sex and BMI did not differ between the groups. Bilateral repair was more common in the robotic (70.8%) than the laparoscopic (50.0%) and open groups (12.4%) (p
Source: Asian Journal of Surgery - April 10, 2020 Category: Surgery Authors: Kakiashvili E, Bez M, Abu Shakra I, Ganam S, Bickel A, Merei F, Drobot A, Bogouslavski G, Kassis W, Khatib K, Badran M, Kluger Y, Almog R Tags: Asian J Surg Source Type: research
Laparoscopic Abdominal Wall Hernia Repair.
Authors: Olmi S, Uccelli M, Cesana GC, Oldani A, Giorgi R, De Carli SM, Ciccarese F, Villa R Abstract Background and Objectives: The aim of this retrospective monocentric study was to evaluate results and recurrence rate with long-term follow-up after laparoscopic incisional/ventral hernia repair. Methods: This was a retrospective, single-center, observational trial, collecting data from patients who underwent laparoscopic incisional/ventral abdominal hernia repair using the open intraperitoneal onlay mesh technique and a single mesh type. All patients signed an informed consent form before surgery. Results...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - April 10, 2020 Category: Surgery Tags: JSLS Source Type: research
Prospective, Randomized Study on the Use of Prosthetic Mesh to Prevent a Parastomal Hernia in a Permanent Colostomy: Results of a Long-term Follow-up
CONCLUSION: Prophylactic intra-abdominal keyhole mesh did not decrease the rate of clinically detectable hernias but reduced the need for the surgical repair of parastomal hernias. Further trials are needed to identify a more efficient method to prevent parastomal hernias. See Video Abstract at http://links.lww.com/DCR/B171. CLINICAL TRIAL REGISTRATION: https://clinicaltrials.gov. Identifier: NCT02368873. ESTUDIO PROSPECTIVO ALEATORIZADO SOBRE EL USO DE MALLA PROTÉSICA PARA PREVENIR UNA HERNIA PARAESTOMAL EN UNA COLOSTOMÍA PERMANENTE: RESULTADOS DE UN SEGUIMIENTO A LARGO PLAZO: PREVENCIÓN DE HERN...
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Original Contributions: Outcomes Source Type: research
Intracorporeal Anastomoses in Minimally Invasive Right Colectomies Are Associated With Fewer Incisional Hernias and Shorter Length of Stay
BACKGROUND: Intracorporeal anastomosis is associated with several short-term benefits. However, it is a technically challenging procedure with potential risk OBJECTIVE: The purpose of this study was to investigate differences in short-term complications and long-term incisional hernia rates after robotic right colectomy with intracorporeal versus extracorporeal anastomoses and standardized extraction sites. DESIGN: This was a historical cohort study. SETTINGS: The study was conducted at a single institution. PATIENTS: All of the patients undergoing robotic right colectomy with intracorporeal anastomosis and a...
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Original Contributions: Outcomes Source Type: research
Tracheostomy, respiratory support, and developmental outcomes in neonates with severe lung diseases: Retrospective study in one center.
CONCLUSION: Tracheostomy in infants requiring at least 1 week of ventilation is performed for complex cases and is favored for orolaryngotracheal anomalies. Clinicians should anticipate the need for developmental care in this population. PMID: 32280047 [PubMed - as supplied by publisher] (Source: Archives de Pediatrie)
Source: Archives de Pediatrie - April 8, 2020 Category: Pediatrics Authors: Bergeron Gallant K, Sauthier M, Kawaguchi A, Essouri S, Quintal MC, Emeriaud G, Jouvet P Tags: Arch Pediatr Source Type: research